Eshealthtips.com – There are several treatment options for a torn Knuckle Tendon. Physical therapy and hand exercises may help the tendon heal. Ice packs can also help ease stiffness and loss of motion in the finger. Ice packs can be made by placing ice cubes in plastic bags and wrapping them in a clean cloth. Do not place ice directly on the skin as the ice may melt and cause wetness. Instead, place a cold pack on the cast or splint. You may need to do this for a while until the swelling and pain subside.
Surgery is an Option for Trigger Finger
Surgery is an option for a trigger finger. This procedure is usually performed as an outpatient procedure with a local anesthesia. The surgeon will open a pulley on the base of the finger to help it move. Patients may be able to resume normal use of the finger the same day of surgery. In some cases, surgery may be necessary to release a clogged tendon and prevent permanent flexion. This procedure may require an open incision in the palm of the hand. The surgeon will then make a small cut in the tendon sheath to give the tendon more room to move. The wound is then stitched to close.
The flexor tendons run along the front of the fingers and connect the muscles in the forearm and hand to the bones in the fingers and thumb. Because of their proximity to the skin, they are prone to injury. Even minor cuts may cause a detached flexor tendon. The flexor tendons start beyond the middle of the forearm and attach to the bones of the fingers through fibrous rings. When the flexor tendons are damaged, they may be able to bend the finger, but this may result in a pain or loss of flexibility.
The ECRL and ECRB tendons work together to bend the wrist in the direction of the thumb. The ECRL tendon has a muscle belly in the forearm and is longer and thinner than the ECRB tendon. Both tendons are attached to the bones in the hand at the base of the knuckle. When damaged, they may require surgery to correct the problem. So, how do we repair a torn Knuckle Tendon?
Adjusting the Treatment of the Underlying Injury
The underlying injury will determine the treatment for your Knuckle Tendon. Treatment can include splinting and anti-inflammatory medication or surgery. Depending on the severity of the injury, a doctor may recommend x-rays or an MRI. Splinting and anti-inflammatory medication are recommended in the first case. If the underlying injury is not severe, however, the doctor may recommend surgery. In addition to splinting, the injured finger may need to be immobilized.
Inflammation of the tendon can be caused by a number of causes, including diabetes, arthritis, gout, and trigger finger. Inflammation of the tendon sheath can lead to scarring, thickening, and nodules. However, the underlying cause may be as simple as an overuse of the finger or a poor gripping motion. A doctor can prescribe a medication for trigger finger or an exercise program for the affected knuckle.
If you suspect a ruptured finger tendon, seek medical attention right away. During the first few days after the injury, you can use ice and elevate the injured hand until the bleeding stops. If you are still bleeding, a tetanus shot may be necessary. Your doctor will perform a complete physical examination of both your hands to determine the extent of your injury. The doctor may order an X-ray to determine whether the surrounding bone is damaged.
Types of Injury of the Knuckle Tendon
In addition to ruptured tendons, other types of injuries of the Knuckle Tendon include a fractured finger. The pain is typically accompanied by numbness and may even cause loss of the finger. In such a case, immediate surgery is necessary. A ruptured knuckle tendon may result in a finger that can no longer bend properly. A doctor can help you avoid this, preventing you from wasting time and money.
Symptoms of a ruptured Knuckle Tendon can range from stiffness to pain. In the case of an injured extensor tendon, you may be unable to bend your fingers fully. If the flexor tendon is partially or completely severed, you may need surgery. In the meantime, a splint can help alleviate your pain. If your injury is severe, the tendon may need to be repaired. Your doctor will perform the surgery on your fingers and wrist.
Lopez-Ben, Robert, Donald H. Lee, and Daniel J. Nicolodi. “Boxer knuckle (injury of the extensor hood with extensor tendon subluxation): diagnosis with dynamic US—report of three cases.” Radiology 228.3 (2003): 642-646.
Karsandas, A., Self, A., Tuckett, J., Sinha, R., & Hide, G. (2016, June). The Boxer’s Knuckle–Injury to the Sagittal Band. A Review of the Anatomy with Ultrasound & MRI Correlation. European Congress of Radiology-ESSR 2016.